Individual provider · Type 1 NPI

Tyler Joseph Keith, LCSWA

Clinical Social Worker · Wilmington, NC

NPI number 1821584020 Active

Practice location

5002 Randall Pkwy Ste 101
Wilmington, NC 28403-2845

Fax (910) 500-0243

Mailing address

322 S College Rd # 1009
Wilmington, NC 28403-1632

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC013544 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1821584020

Tyler Joseph Keith, LCSWA's National Provider Identifier is 1821584020, issued on Jul 11, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Sep 4, 2026.